Simpo PDF Merge and Split Unregistered Version - … · 2020. 12. 18. · Location of the Project: Alburquerque, Bohol ITEM NO. B.3 Permits and Clearances a. Bureau of Fire Protection

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Contract ID 21HA0052

Contract Name Construction of Multi-Purpose Building (Covered Court), Brgy.

Tagbuane, Alburquerque, Bohol

Location of the Project Alburquerque, Bohol

DPWH-INFRA-18-2018 Page 1 of 1

SUMMARY OF BID PRICES

Part No. Part Description Total Amount

PART A FACILITIES FOR THE ENGINEER

PART B OTHER GENERAL REQUIREMENTS

PART C EARTHWORKS

PART D REINFORCED CONCRETE WORK

PART E MISCELLANEOUS HARDWARES

PART F ROOFING WORKS

PART G PAINTING WORKS

TOTAL BID AMOUNT

TOTAL BID AMOUNT Php

Total of All Amounts in Words:

and Centavos

Name in the capacity of

Signed Date

Duly authorized to sign the Bid for and on behalf of



Contract Name


Pay Item Unit Price AmountNo. (Pesos) (Pesos)

PART A

month 3.00 In words: Pesos In Figures: Php

In Figures: Php

month 3.00 In words: Pesos In Figures: Php

In Figures: Php

PART B

L.S. 1.00 In words: Pesos In Figures: Php

In Figures: Php

EACH 1.00 In words: Pesos In Figures: Php

In Figures: Php


In Figures: Php

In words: Pesos In Figures: Php

In Figures: Php

DPWH-INFRA-18-2018 Page 1

Construction of Multi-Purpose Building (Covered Court), Brgy. Tagbuane,

Alburquerque, Bohol

BILL OF QUANTITIES

Description Unit Quantity

Sub-Total

FACILITIES FOR THE ENGINEER

A.1.1 (8) Provision of Field Office

for the Engineer (Rental

Basis)

B.7 (2)

A.1.1 (16) Operation &

Maintenance of Field

Office for the Engineer

OTHER GENERAL REQUIREMENTS

B.3

(See Annex A for

specified items)

(See Annex A for

specified items)

Permits and Clearances

Project Billboard /

Signboard

Occupational Safety and

Health Program

B.5



Contract Name



Alburquerque, Bohol

BILL OF QUANTITIES

Description Unit QuantityPay Item Unit Price AmountNo. (Pesos) (Pesos)

PART C

CU. M. 27.00 In words: Pesos In Figures: Php

In Figures: Php


In Figures: Php

PART D


In Figures: Php


In Figures: Php


In Figures: Php


In Figures: Php



900 (1)c2 Structural Concrete

(Footings and Slab on

Fill), Class A, 28 days

803 (1)c

EARTHWORKS

804 (1)a Embankment (from

Roadway/Structure

Excavation)

Structure Excavation

(Solid Rock)

REINFORCED CONCRETE WORK


(Footing Tie Beams),

Class A, 28 days

Sub-Total


(Columns), Class A, 28

days



Contract Name



Alburquerque, Bohol

BILL OF QUANTITIES


KG. 2,096.30 In words: Pesos In Figures: Php

In Figures: Php

SQ. M. 42.00 In words: Pesos In Figures: Php

In Figures: Php

PART E


In Figures: Php


In Figures: Php


In Figures: Php


In Figures: Php



Sub-Total

902 (1)a Reinforcing Steel

(Deformed), Grade 40

1047 (2)a

Structural Steel

(See Annex A for

specified items)

903 (2) Formworks and

Falseworks

Structural Steel, Trusses

1047 (2)b Structural Steel, Purlins

MISCELLANEOUS HARDWARES

1047 (1)



Contract Name



Alburquerque, Bohol

BILL OF QUANTITIES



In Figures: Php


In Figures: Php


In Figures: Php

KG. 379.00 In words: Pesos In Figures: Php

In Figures: Php


In Figures: Php


In Figures: Php


Metal Structure

Accessories, Turnbuckle

Description Unit

1047 (3)a Metal Structure

Accessories, Bolts

1047 (4) Metal Structure

Accessories, Cross

Bracing

Sub-Total

1047 (6) Metal Structure

Accessories, Steel Plates

1047 (3)b Metal Structure

Accessories, Sagrods

Quantity

1047 (3)c



Contract Name



Alburquerque, Bohol

BILL OF QUANTITIES


PART F


In Figures: Php

PART G


In Figures: Php


In Figures: Php


Submitted by:

Date:

1014 (1)b1 Prepainted Metal Sheet,

above 0.427mm.,

Corrugated Type,

Longspan

Position

Name and Signature of Bidder

Description Unit

Grand-Total

Painting Works, Steel

ROOFING WORKS

PAINTING WORKS

Quantity

1032 (1)c



Contract Name

Location of the Project: Alburquerque, Bohol

ITEM

NO.

B.3 Permits and Clearances

a. Bureau of Fire Protection (0.001 x total cost)

b. Miscellaneous (blue print, paper works and etc.)

B.7 (2)

a. Safety Helmet 534.00 Man-Days

b. Safety Shoes 531.00 Man-Days

c. Safety Vest 534.00 Man-Days

d. Safety Gloves 534.00 Man-Days

e. Rain Coats 22.00 Man-Days

f. Dust / Gas Mask / Face Mask 534.00 Man-Days

g. Ear Muff 80.00 Man-Days

h. Body Harness and Lanyard 115.00 Man-Days

i. Rubber Boots 55.00 Man-Days

j. Eye Goggles / Face Shield 534.00 Man-Days

a. Sanitizing Solution 117.00 lit.

b. Ethyl Alcohol 39.00 lit.

c. Disinfectant Spray 20.00 can

d. Liquid Hand Soap 20.00 lit.

COVID-19 Rapid Antibody Test 10.00 Each

a. Proper PPE Signage (4' x 8') 1.00 pc.

b. Safety First (SF-1) (4' x 4') 1.00 pc.

c. Danger Deep Excavation (3' x 2') 2.00 pcs.

d. Construction Entrance (3' x 2') 1.00 pc.

e. Safety First (SF-2) (3' x 2') 1.00 pc.

f. Authorized Personnel Only (3' x 2') 1.00 pc.

g. Welding / Hot Work Area (3' x 2') 1.00 pc.

h. Temporary Materials Stacking Area (3' x 2') 1.00 pc.

i. Caution Tape, 1000ft. 0.50 roll

1.00

1047 (1) Structural Steel

Steel Beam (4 SB-1, 6 SB-2 & 1 SB-3)

a. 36 - G.I. Pipe Schedule 40 dia. (50mm)

b. 36 - G.I. Pipe Schedule 40 dia. (63mm)

c. 10 - 6.0mm thk. x 50mm x 50mm x 6.0m angle bar

d. 8 - 6.0mm thk. x 63mm x 63mm x 6.0m angle bar

Page 1 of 1

Construction of Multi-Purpose Building (Covered Court), Brgy. Tagbuane, Alburquerque, Bohol

ANNEX A

Building Construction Safety Signage

DESCRIPTION / SPECIFICATIONS

Occupational Safety and Health Program

Antiseptics and Disinfectant

Personal Protective Equipment



Contract ID: 21HA0052

Location of Contract: Alburquerque, Bohol

Date of Submission/Opening of Bids :

Name of Contractor :

Approved Budget for the Contract :

:

Technical Requirements

1 Bid Security in the prescribed form, amount and validity period.

Acceptable Forms Cash, Cashier's Check,

Managers Check, issued

by a Universal or

Commercial Bank (2% of

ABC)

Form Submitted by a Contractor

b. Amount Required

Amount Submitted by Contractor : ( ) Sufficient ( ) Insufficient

c. Validity Period :

d. Issuing Company/Bank :

e. Official Receipt No. :

f. Callable on Demand :

g.Certificate From Insurance

Commission:

2

Electronic Evaluation using CWR:

i

3 Project Requirement, which shall include the following:

a. Organizational Chart for the contract to be bid.

b.

iii.

4 Omnibus Sworn Statement in the form prescribed by GPPB.

Note:

Overall Rating: ( ) Passed ( ) Failed

DPWH-INFR-31-2016

Contract Name: Construction of Multi-Purpose Building (Covered Court), Brgy. Tagbuane, Alburquerque, Bohol

Class "B" Documents, if any, (Special PCAB JV License and Valid Venture Agreement).

List of Contractor's Key Personnel, (see Clause 14.2a(3)(b), BDS of Bidding

Documents to be assigned to the contract, with their complete qualification data.

List of Contractor's Major Laboratory and Heavy Equipment Units owned, leased and/or under purchase

agreements, supported by proof or ownership/lease/purchase and certification of availability of equipment

from lessor/vendor for the duration of the project. (see Clause 14.2a(3)(c), BDS of BDs)

Any missing, incomplete or patentle insufficient document in the above-mentioned checklist is a ground

for outright rejection of the bid.

Bid Security in Prescribed Form, Amount and Validity Period.

Eligibility Requirements under Section 23.1 of the IRR

Surety bond callable

upon demand issued by

a surety or insurance

company duly certified

by the Insurance

Commission as

authorized to issue such

security (5% of ABC)

Bid Securing

Declaration

Bank Draft/Guarantee, or

Irrevocable Letter of Credit

issued by a Universal or

Commercial Bank (If issued

by a Foreign Bank it shall be

confirmed or authenticated by

a Universal or Commercial

Bank (2% of ABC)

EL

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TOTAL AMOUNT OF BID

Department of Public Works and Highways

PRELIMINARY EXAMINATION OF TECHNICAL PROPOSAL

ELIGIBLE INELIGIBLE


Contract ID: 21HA0052

Location of Contract: Alburquerque, Bohol

Date of Submission/Opening of Bids :

Name of Contractor :

Approved Budget for the Contract :

:

Note:

Overall Rating: ( ) Passed ( ) Failed

DPWH-INFR-32-2016

Contract Name: Construction of Multi-Purpose Building (Covered Court), Brgy. Tagbuane, Alburquerque, Bohol

NE

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PRELIMINARY EXAMINATION OF FINANCIAL PROPOSAL

Any missing, incomplete or patently insufficient documentation in the above-mentioned checklist

is a ground for outright rejection of the bid.

TOTAL AMOUNT OF BID AS READ

1

2

3

Bid Prices in the Bill of Quantities

Detailed Estimates including a Summary sheet indicating the unit prices of construction

materials, labor rates and equipment rentals used in coming up

with the bid.

ES

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Bid Form

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4 Quarterly/Monthly Cash Flow and Payments/Schedule


Bid Form for the Procurement of Infrastructure Projects [shall be submitted with the Bid]

_________________________________________________________________________

BID FORM

Date : _________________ Project Identification No. : _________________

To: [name and address of Procuring Entity]

Having examined the Philippine Bidding Documents (PBDs) including the Supplemental or Bid Bulletin Numbers [insert numbers], the receipt of which is hereby duly acknowledged, we, the undersigned, declare that:

a. We have no reservation to the PBDs, including the Supplemental or Bid Bulletins, for the Procurement Project: [insert name of contract];

b. We offer to execute the Works for this Contract in accordance with the PBDs; c. The total price of our Bid in words and figures, excluding any discounts offered

below is: [insert information]; d. The discounts offered and the methodology for their application are: [insert

information]; e. The total bid price includes the cost of all taxes, such as, but not limited to:

[specify the applicable taxes, e.g. (i) value added tax (VAT), (ii) income tax, (iii) local taxes, and (iv) other fiscal levies and duties], which are itemized herein and reflected in the detailed estimates,

f. Our Bid shall be valid within the a period stated in the PBDs, and it shall remain

binding upon us at any time before the expiration of that period; g. If our Bid is accepted, we commit to obtain a Performance Security in the amount

of [insert percentage amount] percent of the Contract Price for the due performance of the Contract, or a Performance Securing Declaration in lieu of the the allowable forms of Performance Security, subject to the terms and conditions of issued GPPB guidelines1 for this purpose;

h. We are not participating, as Bidders, in more than one Bid in this bidding process,

other than alternative offers in accordance with the Bidding Documents;

i. We understand that this Bid, together with your written acceptance thereof included in your notification of award, shall constitute a binding contract between us, until a formal Contract is prepared and executed; and

j. We understand that you are not bound to accept the Lowest Calculated Bid or

any other Bid that you may receive. k. We likewise certify/confirm that the undersigned, is the duly authorized

1 currently based on GPPB Resolution No. 09-2020


representative of the bidder, and granted full power and authority to do, execute and perform any and all acts necessary to participate, submit the bid, and to sign and execute the ensuing contract for the [Name of Project] of the [Name of the Procuring Entity].

l. We acknowledge that failure to sign each and every page of this Bid Form,

including the Bill of Quantities, shall be a ground for the rejection of our bid.

Name: ___________________________________________________________________

Legal Capacity: ____________________________________________________________

Signature: ________________________________________________________________

Duly authorized to sign the Bid for and behalf of: __________________________________

Date: ___________________


Bid Securing Declaration Form [shall be submitted with the Bid if bidder opts to provide this form of bid security]

_________________________________________________________________________

REPUBLIC OF THE PHILIPPINES) CITY OF _______________________) S.S.

BID SECURING DECLARATION Project Identification No.: [Insert number]

To: [Insert name and address of the Procuring Entity] I/We, the undersigned, declare that:

1. I/We understand that, according to your conditions, bids must be supported by a Bid Security, which may be in the form of a Bid Securing Declaration.

2. I/We accept that: (a) I/we will be automatically disqualified from bidding for any procurement contract with any procuring entity for a period of two (2) years upon receipt of your Blacklisting Order; and, (b) I/we will pay the applicable fine provided under Section 6 of the Guidelines on the Use of Bid Securing Declaration, within fifteen (15) days from receipt of the written demand by the procuring entity for the commission of acts resulting to the enforcement of the bid securing declaration under Sections 23.1(b), 34.2, 40.1 and 69.1, except 69.1(f),of the IRR of RA No. 9184; without prejudice to other legal action the government may undertake.

3. I/We understand that this Bid Securing Declaration shall cease to be valid on the following circumstances:

a. Upon expiration of the bid validity period, or any extension thereof pursuant to your request;

b. I am/we are declared ineligible or post-disqualified upon receipt of your notice to such effect, and (i) I/we failed to timely file a request for reconsideration or (ii) I/we filed a waiver to avail of said right; and

c. I am/we are declared the bidder with the Lowest Calculated Responsive Bid, and I/we have furnished the performance security and signed the Contract.

IN WITNESS WHEREOF, I/We have hereunto set my/our hand/s this ____ day of [month] [year] at [place of execution].

[Insert NAME OF BIDDER OR ITS AUTHORIZED REPRESENTATIVE]

[Insert signatory’s legal capacity] Affiant

[Jurat] [Format shall be based on the latest Rules on Notarial Practice]


LETTER OF NOMINEE FOR PROJECT MANAGER

(Date)

The Honorable Secretary


____________________________ (Address)

Sir:

Supplementing our Confidential Application Statement for Eligibility for the Proposed

Construction of (name of project and location), I/we have the honor to submit and certify

herewith to be true and correct, the following pertinent information:

1. That I/we have engaged and contracted the services of Mr. , hereinafter called the Project Manager, a registered Civil Engineer with Professional License Certificate No. _________ issued on __________________ and who has paid his Professional Tax for the current year, dated ______________ and who was performed the same duties in the construction of the projects enumerated in his/her Certificate of Employment and Bio-Data:

2. That said Engineer shall be appointed and designated by us as Project Manager to

personally perform the same duties in the above-mentioned Project, if and when the same

is awarded in our favor;

3. That said Engineer shall employ the best care, skills and ability in performing his duties

in accordance with the Contract Agreement, Conditions of Contract, Plans,

Specifications, Special Provisions and other provisions embodied in the proposed

Contract;

4. That said Engineer shall be personally present at the jobsite to supervise the phase of

construction work pertaining to his assignment as Project Manager all the time;

5. That, in order to guarantee that said Engineer shall manage and supervise properly and be

personally present in the Project, he is hereby required to secure a certification of

appearance from the DPWH Engineer at the end of every month. That I/we shall not start

the work without the Project Manager at the jobsite;

6. That in the event that I/we elect or choose to replace the said Project Manager with

another Engineer, the Head, Implementing Office of the DPWH will be notified by us

accordingly in writing at least twenty one (21) days before making replacement;

7. That the name of the proposed new Project Manager, his qualifications, his experience,

list of projects undertaken and other relevant information, shall be submitted to the

DPWH for prior approval; and


8. That any willful violation on my/our part of the herein conditions may prejudice my/our

standing as a reliable contractor in future bidding of the DPWH.

Very truly yours,

(Contractor)

CONCURRED IN:

(Project Manager)

(Address)


LETTER OF NOMINEE FOR PROJECT ENGINEER/RESIDENT ENGINEER

(Date)



____________________________ (Address)

Sir:



herewith, to be true and correct, the following pertinent information:

1. That I/we have engaged and contracted the services of Mr./Ms. ,

hereinafter called the Project Engineer/Resident Engineer, a registered Civil Engineer

with Professional License Certificate No. _________ issued on _____________ and who

has paid his Professional Tax for the current year, dated _____________ and who was

performed the same duties in the construction of the projects enumerated in his/her

Certificate of Employment and Bio-Data:

2. That said Engineer shall be appointed and designated by us as Project Engineer/

Resident Engineer to personally perform the same duties in the above-mentioned

Project, if and when the same is awarded in our favor;

3. That said Engineer shall employ the best care, skills and ability in performing his

duties in accordance with the Contract Agreement, Conditions of Contract, Plans,

Specifications, and other provisions embodied in the proposed Contract;


construction work pertaining to his assignment as Project Engineer all the time;

5. That, in order to guarantee that said Engineer shall manage and supervise properly

and be personally present in the Project, he is hereby required to secure a certification

of appearance from the DPWH Engineer at the end of every month. That I/we shall

not start the work without the Project Engineer at the jobsite;

6. That in the event that I/we elect or choose to replace the said Project Engineer/

Resident Engineer with another Engineer, the Head, Implementing Office of the

DPWH will be notified by us accordingly in writing at least twenty one (21) days

before making replacement;

7. That the name of the proposed new Project Engineer/Resident Engineer, his

qualifications, his experience, list of projects undertaken and other relevant

information, shall be submitted to the DPWH for prior approval; and


8. That any willful violation on my/our part of the herein conditions may prejudice

my/our standing as a reliable contractor in future bidding of the DPWH.

Very truly yours,

(Contractor)

CONCURRED IN:

(Project Engineer/Resident Engineer)

(Address)


LETTER OF NOMINEE FOR MATERIALS ENGINEER

_________________ (Date)



____________________________ (Address)

Sir:


Construction of (project name and location), I/we have the honor to submit and certify herewith

to be true and correct, the following pertinent information:

1. That I/we have engaged and contracted the services of Mr./Ms. ,

hereinafter called the Materials Engineer, a registered Civil Engineer with

Professional License Certificate No. _________ issued on ___________ and who has

paid his Professional Tax for the current year, dated _________ and who was

performed the same duties in the construction of the projects enumerated in his/her

Certificate of Employment and Bio-Data:

2. That said Engineer shall be appointed and designated by us as Materials Engineer to

personally perform the same duties in the above-mentioned Project, if and when the

same is awarded in our favor;

3. That said Engineer shall employ the best care, skills and ability in performing his




construction work pertaining to his assignment as Materials Engineer all the time;

5. That, in order to guarantee that said Engineer shall manage and supervise properly



not start the work without the Materials Engineer at the jobsite;

6. That in the event that I/we elect or choose to replace the said Materials Engineer with

another Engineer, the Head, Implementing Office of the DPWH will be notified by us

accordingly in writing at least twenty one (21) days before making replacement;

7. That the name of the proposed new Materials Engineer, his qualifications, his

experience, list of projects undertaken and other relevant information, shall be

submitted to the DPWH for prior approval; and


8. That any willful violation my/our part of the herein conditions may prejudice


Very truly yours,

(Contractor)

CONCURRED IN:

(Materials Engineer)

(Address)


LETTER OF NOMINEE FOR FOREMAN

(Date)



____________________________ (Address)

Sir:



herewith to be true and correct, the following pertinent information:

1. That I/we have engaged and contracted the services of Mr. ,

hereinafter called the Foreman, who has performed the same duties in the

construction of the projects enumerated in his/her Certificate of Employment and

Bio-Data;

2. That said person shall be appointed and designated by us as our Foreman to

personally perform the same duties in the above-mentioned Project, if and when the

same is awarded in our favor;

3. That said Foreman shall employ the best care, skills and ability in performing his



4. That said Foreman shall be personally present at the jobsite to supervise the phase of

construction work pertaining to his assignment as Foreman all the time;

5. That, in order to guarantee that said Foreman shall manage and supervise properly



not start the work without the Foreman at the jobsite;

6. That in the event that I/we elect or choose to replace the said Foreman, the Head,

Implementing Office of the DPWH will be notified by us accordingly in writing at

least twenty one (21) days before making replacement;

7. That the name of the proposed new Foreman, his qualifications, his experience, list of

projects undertaken and other relevant information, shall be submitted to the DPWH

for prior approval; and


8. That any willful violation on my/our part of the herein condition may prejudice


Very truly yours,

(Contractor)

CONCURRED IN:

(Foreman)

(Address)


PROJECT MANAGER’S CERTIFICATE OF EMPLOYMENT

_____________________(Date)



____________________________________________ (Address)

Sir:

I am a licensed Civil Engineer with Professional License No. __________ issued on ____________ at _____________. I hereby certify that_______________________ contracted my services as Project Manager on the _______________________________________, if awarded to him.

The following projects had been supervised by me as Project Manager (mention only

projects of same nature as aforesaid Contract);

NAME OF OWNER COST DATE

PROJECT COMPLETED

At present, I am supervising the following on-going projects:

NAME OF OWNER COST %

PROJECT ACCOMPLISHED

In case of my separation for any reason whatsoever from the above-mentioned Contractor, I shall

notify the Department of Public Works and Highways at least twenty-one (21) days before the

effective date of my separation.

I have read carefully and will abide by the conditions required of me in the Contractor's

Confidential Application Statement for Pre-qualification of the above Contractor.

As Project Manager, I know I will have to stay in the Project all the time to supervise and

manage the Project to the best of my ability, and am aware that I am authorized to handle only

one (1) project at a time.


I did not allow the use of my name for the purpose only of enabling the above-mentioned

Contractor to qualify for the Project without any firm intention on my part to assume the post as

Project Manager if the Project is awarded to him since I understand that to do so will be a

sufficient ground for my disqualification as Project Manager in any future bidding or

employment for any Contractor doing business with the Department of Public Works and Highways.

(Signature of Project Manager)

REPUBLIC OF THE PHILIPPINES) CITY OF ) S.S.

SUBSCRIBED AND SWORN TO BEFORE ME this _______________ day of, affiant

exhibiting to me his Residence Tax Certificate No. _________________ issued on _______________ at

________________.

Notary Public

PTR. No. Until

Doc. No. Page No.

Book No. Series of


PROJECT ENGINEER’S/RESIDENT ENGINEER’S CERTIFICATE OF EMPLOYMENT

_____________________(Date)



____________________________________________ (Address)

Sir:

I am a licensed Civil Engineer with Professional License No. _____________ issued on ___________ at ______________ .

I hereby certify that______________________ contracted my services as Project Engineer/Resident Engineer on the ___________________________________________, if awarded to him.

The following projects had been supervised by me as Project Engineer/Resident Engineer

(mention only projects of same nature as aforesaid Contract);


PROJECT COMPLETED









As Project Engineer/ Resident Engineer, I know I will have to stay in the Project all the time to

supervise and manage the Project to the best of my ability, and am aware that I am authorized to

handle only ONE (1) project at a time.




Project Engineer/ Resident Engineer if the Project is awarded to him since I understand that to do

so will be a sufficient ground for my disqualification as Project Engineer/ Resident Engineer in

any future bidding or employment for any Contractor doing business with the Department of

Public Works and Highways.

(Signature of Project Engineer)




________________.

Notary Public

PTR. No. Until

Doc. No.

Page No. Book No.

Series of


MATERIALS ENGINEER’S CERTIFICATE OF EMPLOYMENT

_____________________(Date)



____________________________________________ (Address)

Sir:

I am a licensed Civil Engineer with Professional License No. __________________ issued on ____________ at _______________ .

I hereby certify that______________________ contracted my services as Materials Engineer on the _____________________________________ , if awarded to him.

The following projects had been supervised by me as Project Materials Engineer

(mention only projects of same nature as aforesaid Contract);


PROJECT COMPLETED



PROJECT ACCOMPLISHMENT

In case of my separation for any reason whatsoever from the above-mentioned

Contractor, I shall notify the Department of Public Works and Highways at least TWENTY-

ONE (21) days before the effective date of my separation.



As Materials Engineer, I know I will have to stay in the Project all the time to supervise

and manage the Project to the best of my ability, and am aware that I am authorized to handle

only ONE (1) project at a time.




Materials Engineer if the Project is awarded to him since I understand that to do so will be a

sufficient ground for my disqualification as Materials Engineer in any future bidding or

employment for any Contractor doing business with the Department of Public Works and

Highways.

(Signature of Materials Engineer)

DRY SEAL




________________.

Notary Public

PTR. No. Until

Doc. No.

Page No. Book No.

Series of


FOREMAN'S CERTIFICATE OF EMPLOYMENT

(Date)


Department of Public Works and Highways (Address) Sir:

I hereby certify that Contractor _______________________ has engaged my services as

Foreman on the _______________________________________________, if awarded to him.

The following projects had been supervised by me as Foreman (mention only projects of same nature

as aforesaid Contract);


PROJECT COMPLETED






As Foreman, I know I will have to stay in the Project all the time to supervise and manage the

Project to the best of my ability, and am aware that I am authorized to handle only one (1)

project at a time.






Foreman if the Project is awarded to him since I understand that to do so will be a sufficient

ground for my disqualification as Foreman in any future bidding or employment for any

Contractor doing business with the Department of Public Works and Highways.

(Signature of Foreman)





________________.

Notary Public PTR. No.

Until

Doc. No.

Page No. Book No.

Series of


BIO-DATA

Proposed Position:

Name of Firm:

Name of Staff:

Profession:

Date of Birth:

TIN No.:

Years with Firm/Entity: Nationality:

Membership in Professional Societies:

Detailed Tasks Assigned:

Key Qualifications:

[Give an outline of staff member's experience and training most pertinent to tasks on project.

Describe degree of responsibility held by staff member on relevant previous projects and give dates and locations. Use about half a page. ]

Education:

[Summarize college/university and other specialized education of staff members, giving names of schools, dates attended, and degrees obtained. Use about one quarter of a page.]

Employment Record:

[Starting with present position, list in reverse order every employment held. List all positions held by staff member since graduation, giving dates, names of employing organizations, titles of

positions held, and locations of projects. For experience in last ten years, also give types of

activities performed and client references, where appropriate. Use about two pages. ]

Languages:

[For each language, indicate proficiency: excellent, good, fair, or poor in speaking, reading, and

writing.]


Certification:

I, the undersigned, certify that to the best of my knowledge and belief, these data correctly

describe me, my qualifications, and my experience.

________________________________________________________ Date:

[Signature of staff member and authorized representative of the firm] Day/Month/Year

Full name of staff member:

Full name of authorized representative:


Omnibus Sworn Statement (Revised) [shall be submitted with the Bid]

_________________________________________________________________________ REPUBLIC OF THE PHILIPPINES ) CITY/MUNICIPALITY OF ______ ) S.S.

AFFIDAVIT

I, [Name of Affiant], of legal age, [Civil Status], [Nationality], and residing at [Address of Affiant], after having been duly sworn in accordance with law, do hereby depose and state that: 1. [Select one, delete the other:]

[If a sole proprietorship:] I am the sole proprietor or authorized representative of [Name of Bidder] with office address at [address of Bidder];

[If a partnership, corporation, cooperative, or joint venture:] I am the duly authorized and designated representative of [Name of Bidder] with office address at [address of Bidder];

2. [Select one, delete the other:]

[If a sole proprietorship:] As the owner and sole proprietor, or authorized representative of [Name of Bidder], I have full power and authority to do, execute and perform any and all acts necessary to participate, submit the bid, and to sign and execute the ensuing contract for [Name of the Project] of the [Name of the Procuring Entity], as shown in the attached duly notarized Special Power of Attorney;

[If a partnership, corporation, cooperative, or joint venture:] I am granted full power and authority to do, execute and perform any and all acts necessary to participate, submit the bid, and to sign and execute the ensuing contract for [Name of the Project] of the [Name of the Procuring Entity], as shown in the attached [state title of attached document showing proof of authorization (e.g., duly notarized Secretary’s Certificate, Board/Partnership Resolution, or Special Power of Attorney, whichever is applicable;)];

3. [Name of Bidder] is not “blacklisted” or barred from bidding by the Government of the Philippines or any of its agencies, offices, corporations, or Local Government Units, foreign government/foreign or international financing institution whose blacklisting rules have been recognized by the Government Procurement Policy Board, by itself or by relation, membership, association, affiliation, or controlling interest with another blacklisted person or entity as defined and provided for in the Uniform Guidelines on Blacklisting;

4. Each of the documents submitted in satisfaction of the bidding requirements is an authentic copy of the original, complete, and all statements and information provided therein are true and correct;

5. [Name of Bidder] is authorizing the Head of the Procuring Entity or its duly authorized representative(s) to verify all the documents submitted;

6. [Select one, delete the rest:]

[If a sole proprietorship:] The owner or sole proprietor is not related to the Head of the Procuring Entity, members of the Bids and Awards Committee (BAC), the Technical


Working Group, and the BAC Secretariat, the head of the Project Management Office or the end-user unit, and the project consultants by consanguinity or affinity up to the third civil degree;

[If a partnership or cooperative:] None of the officers and members of [Name of Bidder] is related to the Head of the Procuring Entity, members of the Bids and Awards Committee (BAC), the Technical Working Group, and the BAC Secretariat, the head of the Project Management Office or the end-user unit, and the project consultants by consanguinity or affinity up to the third civil degree;

[If a corporation or joint venture:] None of the officers, directors, and controlling stockholders of [Name of Bidder] is related to the Head of the Procuring Entity, members of the Bids and Awards Committee (BAC), the Technical Working Group, and the BAC Secretariat, the head of the Project Management Office or the end-user unit, and the project consultants by consanguinity or affinity up to the third civil degree;

7. [Name of Bidder] complies with existing labor laws and standards; and

8. [Name of Bidder] is aware of and has undertaken the responsibilities as a Bidder in compliance with the Philippine Bidding Documents, which includes: a. Carefully examining all of the Bidding Documents; b. Acknowledging all conditions, local or otherwise, affecting the implementation of the

Contract; c. Making an estimate of the facilities available and needed for the contract to be bid, if

any; and d. Inquiring or securing Supplemental/Bid Bulletin(s) issued for the [Name of the

Project].

9. [Name of Bidder] did not give or pay directly or indirectly, any commission, amount, fee, or any form of consideration, pecuniary or otherwise, to any person or official, personnel or representative of the government in relation to any procurement project or activity.

10. In case advance payment was made or given, failure to perform or deliver any of

the obligations and undertakings in the contract shall be sufficient grounds to constitute criminal liability for Swindling (Estafa) or the commission of fraud with unfaithfulness or abuse of confidence through misappropriating or converting any payment received by a person or entity under an obligation involving the duty to deliver certain goods or services, to the prejudice of the public and the government of the Philippines pursuant to Article 315 of Act No. 3815 s. 1930, as amended, or the Revised Penal Code.

IN WITNESS WHEREOF, I have hereunto set my hand this __ day of ___, 20__ at ____________, Philippines.

[Insert NAME OF BIDDER OR ITS AUTHORIZED REPRESENTATIVE]

[Insert signatory’s legal capacity] Affiant

[Jurat] [Format shall be based on the latest Rules on Notarial Practice]
